Contraceptive Use Behavior Change After an Unintended Birth in Colombia and Peru

Author(s):  
Batyra
2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Harriet Paterson

AbstractOver the last 60 years we have modified our behavior to make use of new synthetic material produced from fossil fuels. We have incorporated it into almost every facet of our lives making us more comfortable. The production of plastic material has grown at an alarming rate and huge volumes of non-biodegradable waste now litters the surface of the planet creating a major global problem. To reverse this problem, we need to consider both obvious and novel behavior change and product development. While we are beginning to remove plastic items from the environment, we do have the responsibility to reduce the amount of new plastic material entering the waste stream. In order to achieve this, it is necessary to explore all options relating to the way we design, produce and consume products and determine what acceptable waste is. This article collection is concerned with addressing the problem by exploring a variety of topics as diverse as the history of plastic material use, behavior change, and the development of new, environmentally friendly products and their impact on the environment. The following essay outlines a few ideas that do require further scientific exploration so we can begin the process of weaning society off its current dependence on plastic products.


2020 ◽  
Author(s):  
Paul Hutchinson ◽  
Udochisom Anaba ◽  
Dele Abegunde ◽  
Mathew Okoh ◽  
Paul Hewett ◽  
...  

Abstract Background: Northwestern Nigeria faces a situation of high fertility and low contraceptive use, driven in large part by high-fertility norms, pro-natal cultural and religious beliefs, misconceptions about contraceptive methods, and gender inequalities. Social and behavior change (SBC) programs often try to shift drivers of high fertility through multiple channels including mass and social media, community-level group and interpersonal activities. This study seeks to assist SBC programs to better tailor their efforts by assessing the effects of intermediate determinants of contraceptive use/uptake and by demonstrating their potential impacts on contraceptive use, interpersonal communication with partners, and contraceptive approval.Methods: Data for this study come from a cross-sectional household survey, conducted in the states of Kebbi, Sokoto and Zamfara in northwestern Nigeria in September 2019, involving 3,000 women aged 15 to 49 years with a child under 2 years. Using an ideational framework of behavior that highlights psychosocial influences, multivariate regression analyses assess associations between ideational factors and family planning outcomes, and post-estimation simulations with regression coefficients model the magnitude of effects for these intermediate determinants.Results: Knowledge, approval of family planning, and social influences, particularly from husbands, were all associated with improved family planning outcomes. Approval of family planning was critical – women who personally approve of family planning were nearly three times more likely to be currently using modern contraception and nearly six times more likely to intend to start use in the next six months. Husband’s influence was also critical. Women who had ever talked about family planning with their husbands were three times more likely both to be currently using modern contraception and to intend to start in the next six months. Conclusion: SBC programs interested in improving family planning outcomes could potentially achieve large gains in contraceptive use—even without large-scale changes in socio-economic and health services factors—by designing and implementing effective SBC interventions that improve knowledge, encourage spousal/partner communication, and work towards increasing personal approval of family planning. Uncertainty about the time-order of influencers and outcomes however precludes inferences about the existence of causal relationships and the potential for impact from interventions.


2020 ◽  
Vol 4 ◽  
pp. 141
Author(s):  
Dominique Meekers ◽  
Chidinma Onuoha ◽  
Olaniyi Olutola

The coronavirus pandemic may have harmful effects on use of family planning services. Lockdown regulations make it more difficult for people to visit health providers to obtain information about family planning, to discuss side-effects or problems they are experiencing with their current method, and go out to obtain new family planning supplies (e.g., to renew their contraceptive injection). The inability to earn income during the lockdown may also make family planning products and services unaffordable. As a result, efforts to curb the pandemic may cause unintended interruptions in contraceptive use and may prevent non-users from adopting a contraceptive method. Given these rapidly changing circumstances, it is important that family planning implementers make program adjustments without delay. When a timely programmatic response is of the essence, program implementers need simple behavior change models that can be used to inform programmatic decisions. This paper presents a case study of how DKT/Nigeria applied a behavior change model from persuasive design - the Fogg Behavior Model – to make timely adjustments to their contraceptive social marketing program during the course of the COVID-19 lockdown. Other public health programs, including programs that target health areas other than family planning, may be able to use similar approaches to guide the design of timely and responsive program adjustments.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 415-415
Author(s):  
Rachel Hirschey ◽  
Courtney Caiola ◽  
Ya-Ning Chan ◽  
Brenda Plassman ◽  
Bei Wu ◽  
...  

Abstract Following a pilot, we refined an oral health carepartner intervention for individuals with mild dementia (IMD). In this intervention, we use behavior change techniques (BCTs) to foster changes by carepartners including using new oral-care techniques and developing skills for using cueing and communications approaches to support behavior changes by IMD (duration and frequency of toothbrushing and oral-hygiene skills); thus, improving plaque and gingival indices. We describe our approach to refining the intervention manual including a) completing the self-paced BCT taxonomy course, b) developing a coding schema, c) coding the original manual for evidence of BCTs, and d) refining the manual to improve use of BCTS in the refined intervention. Our results detail how BCTs can be applied to refine and improve interventions. This research demonstrates the value in using BCTs for interventions to address how carepartners and IMD can collaborate to improve oral hygiene care.


Field Methods ◽  
2022 ◽  
pp. 1525822X2110696
Author(s):  
Brady T. West ◽  
William G. Axinn ◽  
Mick P. Couper ◽  
Heather Gatny ◽  
Heather Schroeder

Event history calendars (EHCs) are frequently used in social measurement to capture important information about the time ordering of events in people’s lives and enable inference about the relationships of the events with other outcomes of interest. To date, EHCs have primarily been designed for face-to-face or telephone survey interviewing, and few calendar tools have been developed for more private, self-administered modes of data collection. Web surveys offer benefits in terms of both self-administration, which can reduce social desirability bias, and timeliness. We developed and tested a web application enabling the calendar-based measurement of contraceptive method use histories. These measures provide valuable information for researchers studying family planning and fertility behaviors. This study describes the development of the web application and presents a comparison of data collected from online panels using the application with data from a benchmark face-to-face survey collecting similar measures (the National Survey of Family Growth).


2011 ◽  
Vol 79 (4) ◽  
pp. 433-440 ◽  
Author(s):  
Chad D. Jensen ◽  
Christopher C. Cushing ◽  
Brandon S. Aylward ◽  
James T. Craig ◽  
Danielle M. Sorell ◽  
...  

2005 ◽  
Vol 30 (9) ◽  
pp. 1775-1796 ◽  
Author(s):  
Holly Barrett Waldron ◽  
Charles W. Turner ◽  
Timothy J. Ozechowski

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